ELLY SWADIPURA DDS
NPI: 1063813814
· IRWINDALE, CA 91706
· Dental Clinic/Center
· NPI assigned 09/11/2014
Provider Details
| Authorized Official | SWADIPURA, ELLY (DENTIST OWNER) |
| Parent Organization | 369 DENTAL CENTER |
| NPI Enumeration Date | 09/11/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$339.00 |
| 2019 |
88 |
$1K |
| 2020 |
22 |
$264.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
49 |
39 |
$887.25 |
| D0220 |
Intraoral - periapical first radiographic image |
74 |
65 |
$852.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$146.00 |